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Montana rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $4,168.69 / $5,128.61
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,786.30 / $9,332.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,786.30 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,365.16 / $5,370.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,890.45 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,862.09 / $2,818.38